Betschart Patrick, Schmid Hans-Peter, Abt Dominik
1 Klinik für Urologie, Kantonsspital St. Gallen.
Praxis (Bern 1994). 2016 Mar 16;105(6):323-8. doi: 10.1024/1661-8157/a002302.
Temporary drainage of the upper urinary tract by internal ureteral stents is a common procedure to assure renal function and to treat pain caused by ureteral obstruction. Ureteral stents are frequently associated with side effects like urinary symptoms, pain or hematuria resulting in frequent medical consultations. In addition to good patient education, symptomatic drug therapy of stent-associated symptoms is often indicated and sufficient. However, complications like stent dysfunction or significant urinary tract infections have to be kept in mind, as they require further diagnostics and treatment. Therefore, especially general practitioners as a primary point of contact for the patients should be familiar with common ureteral stent-associated problems, their treatment and indications for patient referrals.
通过输尿管内支架进行上尿路临时引流是确保肾功能和治疗输尿管梗阻所致疼痛的常见操作。输尿管支架常伴有诸如尿路症状、疼痛或血尿等副作用,导致患者频繁就医。除了对患者进行良好的教育外,针对支架相关症状的对症药物治疗通常是必要且充分的。然而,必须牢记支架功能障碍或严重尿路感染等并发症,因为它们需要进一步的诊断和治疗。因此,尤其是作为患者首要联系点的全科医生,应该熟悉常见的输尿管支架相关问题、其治疗方法以及患者转诊的指征。